Basic Information
Provider Information
NPI: 1144289166
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AKERKAR
FirstName: GEETANJALI
MiddleName: A
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4 MEETING HOUSE RD
Address2: SUITE 6-8
City: CHELMSFORD
State: MA
PostalCode: 018242766
CountryCode: US
TelephoneNumber: 9784549811
FaxNumber: 9789379281
Practice Location
Address1: 4 MEETING HOUSE RD
Address2: SUITE 6-8
City: CHELMSFORD
State: MA
PostalCode: 018242766
CountryCode: US
TelephoneNumber: 9784549811
FaxNumber: 9789379281
Other Information
ProviderEnumerationDate: 03/20/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RG0100X81194MAY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology

ID Information
IDTypeStateIssuerDescription
019312705MA MEDICAID
AA198601 HARVARD PILGRIMOTHER
34188501 TUFTSOTHER
AKJ2438401 BLUE CROSS & BLUE SHIELDOTHER


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